HomeMy WebLinkAbout1025 Robinhood Dr_BLD5630_2025 i
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551
Permit Number: BLD5630 Permit Type: Residential Mechanical
Address/Parcel: 1025 Robinhood Dr Completed (Month/Year): February 2024
Land Use
❑ Notice of Decision ❑ Bonding or Assignment of Funds
❑ Staff Report o Confidential Documents. Contact the
❑ Application City to obtain.
❑ Narrative ❑ Letters and Project Documents
❑ Legal Description ❑ Other:
❑ Vicinity Map
❑ Site Plan Civil
❑ Landscape Plan ❑ Issued Permit
❑ Complete Streets Checklist ❑ Application
❑ Traffic Impact Analysis ❑ Other Applications
❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet
❑ WSDOT Traffic Offer Form ❑ Approved Plans
❑ Tree Survey ❑ Review Comment Form
❑ Stormwater Drainage Report ❑ Letters and Project Documents
❑ Geotech Report ❑ Other Agency Permits
❑ Critical Area Evaluation Form ❑ Reports:
❑ SEPA Checklist o Drainage Report Pg:
❑ Public Notice Material o Stormwater Pg:
❑ Noticing and Related Documents o Geotech Pg:
❑ Water/Sewer Availability Certificate o All Other Reports
❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials
❑ Aerial Photo of Site ❑ Inspections
❑ Proposed Building Materials ❑ As-Builts
❑ Lighting Plans and Lighting Cut Sheets ❑ Other:
❑ Color Elevations
❑ Design Matrix Building
❑ Plat Map ❑✓ Issued Permit
❑ Title Report ❑✓ Application
❑ Lot Closures ❑ Additional Applications
❑ Preliminary Civil Plans ❑ Approved Plans
❑ Archaeological Survey ❑✓ Site Plan
o Confidential Documents. Contact the ❑ Letters and Project Documents
City to obtain. ❑ Calculations
❑ Topography(Existing Conditions) ❑ Project Specification Manuals
❑ CC&R's ❑ Reports
❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy
/Dedications ❑ Inspections
❑ Developer's Agreement ❑ Other:
❑ Recorded Copies
Page 1 of 1
CITY OF ARLINGTON
1 18204 59th Avenue NE,Arlington,WA 98223
�J INSPECTIONS: 360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
1025 ROBINHOOD DR Permit#: 5630
PERMIT EXPIRES 180 DAYS AFTER
Parcel#:00398800001300 DATE OF ISSUANCE.
Scope of Work:Like and kind furnace swap with heat pump add Valuation: 19559.03
OWNER APPLICANT CONTRACTOR
KOONS SUSANNA CM Heating CM HEATING INC
1025 E ROBINHOOD DR 1500 Industry St#200 1500 INDUSTRY ST STE 200
ARLINGTON,WA 98223 Everett,WA 98203 EVERETT,WA 98203
4252590550 425-259-0550
LIC:604 949 023 EXP: 10/12/2023
LIC:CMAIRAP78ONH EXP:08/08/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LTC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL CODE YEAR: 2018
MECHANICAL/PLUMBING
STORIES: I CONST.TYPE: VB
DWELLING UNITS: OCC GROUP: R-3;Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK
AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE
OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND
ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN
MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBCI10/IRCI 10.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax,return for coded City of Arlington#3101.
7
' � 1/7, 1-V/1�Gi O� 10/18/2023
IV V V App ' an -i� ate Building Official Date
CONDITIONS
3" concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated; use of adhesive tapes are
prohibited.Adhere to approved appliances.Approved job copy shall be onsite for inspections; if applicable.Call for final
inspection.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE
PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS,DRIVEWAYS,
MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
10/18/2023 Processing/Technology $25.00
10/18/2023 Inspection $75.00
10/18/2023 Forced Air Heat $15.00
10/18/2023 Heat Pump-Condensing Unit $25.00
10/18/2023 Mechanical Base $25.00
10/18/2023 Credit Card Service $4.95
Total Due: $169.95
Total Payment: $169.95
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION IPass/Fail
RESIDENTIAL MECHANICAL APPLICATION
Community and Economic Development
op City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551
This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping.
Please fill out all pages of this application and include all information.
Type of Permit: ❑ New Installation Addition/Alteration/Repair ❑ Gas Piping
Property Address: io7_5 F kbm,t=d i( Project Valuation:
Lot#: Parcel ID No.: �( � Preferred Contact: O Owner Contractor
Project Description: ` 1r nay- (A) I IteQiPimpCW
Owner Name: Sys ZA' t, Y=MCN S Home No.: -Wc, - qgU
Email Address: S�VAY)n5A YCA •m()n C 0 t Cell No.:
. Mailing Address: City: State: W Iq zi
Contractor Name: C,C./` I-Mh Office No.: q25-,2
Email Address: �-� (am Cell No.:
Mailing Address: ISO � 1� �' o State: 1' Zip: 01
L&I Contractor License Number: Ex iration Date: O Z2,
Li
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips)are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
Gas Piping Information ❑ Not Applicable
❑CSST ❑ Brass ❑ Other
Proposed Piping Material:
❑ Black Steel ❑ Galvanized Steel
Proposed Piping Size: ❑ Y2" ❑ S/s" ❑ 3/4" ❑ 1" ❑ 1Y2" ❑ 2"
Distance from Meter to furthest Appliance: Total BTU's of all Appliances:
MECHANICAL PERMIT FEES(per unit)
Type of Fixture No.of Units Cost per Unit Subtotal Model No.
Additional Plan Review fees x $75.00 =
Air Cond.Unit<_100Btu h x $15.00 =
Air Cond.Unit>100Btu h x $25.00 =
Air Cond.Unit>50013tu h x $50.00 =
Air Handling Units x $ 15.00 =
Base Mechanical Fee 1 x $25.00 = $25.00
Boiler<100l3tu/h.>3hp x $15.00 =
Boiler>1 million Btu/h<50hp x $25.00 =
REV03.2022 Page 1 of 2
MECHANICAL PERMIT FEES (per unit)
Boiler>1.5 million Btu/h<50hp x $50.00
Boiler>100Btu h 3-15h x $15.00 _
Boiler>500Btu h 15-30hp x $25.00 _
Commercial Hoods-Type I x $25.00 =
Commercial Hoods-Type 11 x $50.00 =
(Diffusers x $15.00 =
Dryer Ducting x $15.00 =
Ductwork(drawings required) x $25.00 =
Evaporative Coolers x $15.00 =
Exhaust Ventilation Fans x $15.00 =
Fireplace/Insert/Stove x $15.00 =
Forced Air Heat<_100 Btu h x $15.00 =
Forced Air Heat>100 Btu h x $25.00 =
Gas Clothes Dryer x $15.00 =
Gas Fired AC 5100 Btu h x $15.00 =
Gas Fired AC>100 Btu h x $25.00 =
Gas Fired AC>500 Btu h x $50.00 =
Gas Pi in <_5 units x $15.00 =
Gas Piping>5 units(plus<5 units x $2.00 =
Heat Exchangers x $15.00 =
Heat Pump-Condensing Unit x $25.00 =
Hot Water Heat Coils x $15.00 =
Miscellaneous Appliance-regulated by x $15.00 =
mechanical code,not otherwise specified
Pkg.Units<_100btu x $25.00 =
Pkg.Units>100btu x $50.00 =
Range/Cook top-Gas Fired x $15.00 =
Refrigeration Unit s100Btu h x $15.00 =
Refrigeration Unit>100Btu h x $25.00 =
Refrigeration.Unit>500Btu h x $50.00 =
Re-inspection fee x $75.00 =
Residential Range Hood x $15.00 =
'Unit Heaters<_ 100 Btu h x $15.00 =
Unit Heaters>100 Btu h x $25.00 =
VAV Boxes (Variable Air Volume,part of air x $10.00 =
conditioning system
all Heaters-Gas Fired x $25.00 =
Water Heater-Gas Fired x $25.00 =
Permit Fee
Vo-
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
REV2.2020 Page 2 of 2
PRESSURE PIPING SCHEMATIC
COMPLETE FOR GAS PIPING ONLY
❑ SCHEMATIC IS TO SCALE SCHEMATIC NOT TO SCALE
Show Pipe Size(s) and Length(s) from meter to all appliances
NOTE:Any interior pressure regulators must be indicated
l hereby certify that I am the ❑Owner, ❑Applicant, ❑Contractor, and authorized to sign this application and that the above
information is correct and construction on,and the occupancy and the use of the above-described property will be in accordance with
the laws,rules and regulatian o the State of Washington, and the City of Arlington.A final inspection and approval shall be obtained
when complete.
/I///I A V_��-O�A6n Sar&YS 12-S
J*aEurVPrint me Date
SAVE PRINT_
REV2.2020 Page 3 of 3
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